The growing burden of schizophrenia in the geriatric population of the developing world is a complex and multi-faceted problem. While the underlying pathophysiology may be similar across patients, many challenges exist for the successful treatment and management of elderly schizophrenia patients in developing countries, including untreated medical comorbidities, culturally mediated barriers to care (e.g., stigma, preference for traditional systems of care), and lack of access to mental health resources and geriatric specialists. A number of promising healthcare delivery techniques can be implemented to reach isolated patients in the non-industrialized world. These include embedded outreach workers to bridge the divide between traditional beliefs and modern psychiatric care, thereby reducing stigma and skepticism towards allopathic medicine. Culturally sensitive ICT-based interventions appear to be promising methods of serving elderly schizophrenia patients with diminished access to care in emerging countries. It is evident that a comprehensive approach must be taken to characterize and appropriately meet the needs of older schizophrenia patients in the developing world, and to be efficacious, the evidence-based techniques applied must take into account local cultural sensitivities.